go back

Pennsylvania rates for HCPCS Q4019

Cast Supplies Long Arm Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.49 / $35.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.53 / $11.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $7.70 / $8.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.68 / $32.68 / $32.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.49 / $35.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.61 / $11.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.50 / $11.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $5.42 / $5.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $5.42 / $5.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.84 / $4.93